person
Nicholas Bradford Johnson
Plastic and Reconstructive Surgery Physician in Idaho Falls, Idaho
NPI 1578850210

Nicholas Bradford Johnson is a Plastic and Reconstructive Surgery Physician based in Atlanta, ID and is specialized in Plastic and Reconstructive Surgery. Nicholas Bradford Johnson practices in Idaho Falls, ID. The NPI Number for Nicholas Bradford Johnson is 1578850210 and holds a License No. M-14721 (Idaho).

The current practice location address for Nicholas Bradford Johnson is 3200 Channing Way Ste 206, Idaho Falls, ID and can be reached out via phone at 208-529-2230 and via fax at 208-453-6142. You can also correspond with Nicholas Bradford Johnson through the mailing address at PO BOX 277381, ATLANTA, GA - 30384-7381 (mailing address contact number: 208-529-2230).

Location: 3200 Channing Way Ste 206, Idaho Falls, ID, 30384-7381
person
Provider Profile Details
NPI Number
1578850210
Provider Name
Nicholas Bradford Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3200 Channing Way Ste 206, Idaho Falls, ID, 30384-7381
Phone Number
208-529-2230
Fax Number
208-453-6142
Provider Enumeration Date
07/01/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3200 Channing Way Ste 206
City
State
Zip
83404-7546
Phone Number
208-529-2230
Fax Number
208-453-6142
person
Provider Business Mailing Address Details
Address
Po Box 277381
City
State
Zip
30384-7381
Phone Number
208-529-2230
Fax Number
208-453-6142
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
License No.
83999 (Georgia)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
M-14721 (Idaho)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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